CCN 676286
Meadow Lake Health Center
16044 CR 165, Tyler, TX 75703 · Smith County
- Ownership
- Non profit - Corporation
- Certified beds
- 20
- Residents per day
- 28.4
- Health citations
- 4
- Penalties
- 0
- Fines
- 0 · $0
- Map
- Open location. CMS based the coordinates on the ZIP code because the street address did not match.
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
CMS has marked this home with the high-performing icon. The September 2026 Technical Users' Guide describes that icon for homes with fewer citations, higher staffing, and other quality indicators, shown in addition to the five-star rating. Selection criteria are in CMS memorandum QSO-26-14-NH.
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.62
- 2.01
- 2.32
- LPN/LVN
- 0.57
- 0.95
- 0.86
- Registered nurse
- 0.83
- 0.43
- 0.69
- Total nurse staff
- 4.01
- 3.39
- 3.86
- Weekend total
- 3.39
- 2.98
- 3.42
- Weekend RN
- 0.49
- 0.34
- 0.48
Adjusted total nurse hours: 4.11. Adjusted RN hours: 0.85. Case-mix total: 3.74. Case-mix index: 1.368.
Total nursing staff turnover: 56.3%. RN turnover: 62.5%. Administrators who left: 0.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: September 24, 2025. Health deficiencies counted in cycle 1: 0. Cycle 1 total health score: 0.
Cycle 2 standard survey: August 21, 2024. Cycle 2/3 health deficiencies: 2. Total weighted health survey score: 2.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 4 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
May 19, 2025
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Complaint survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · May 20, 2025 |
August 21, 2024
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · August 22, 2024 |
July 19, 2023
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Standard survey · Cycle 3 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 20, 2023 |
| F610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Standard survey · Cycle 3 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 20, 2023 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections